SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
NPI 1114383023
Specialist in Jacksonville, FL

NPI Status: Active since January 07, 2016

Contact Information

15255 MAX LEGGETT PKWY
5TH FLOOR
JACKSONVILLE, FL
ZIP 32218
Phone: (904) 634-0640
Fax: (904) 634-0203

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  • Organization
  • Specialist
  • Accepts Insurance

About SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC

This page provides the complete NPI Profile along with additional information for Southeast Orthopedic Specialists, Llc, a provider established in Jacksonville, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1114383023 assigned on January 2016. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Southeast Orthopedic Specialists, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Brett Puckett (President)

NPI
1114383023
Provider Name
SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC
Entity Type
Organization
Location Address
15255 MAX LEGGETT PKWY 5TH FLOOR JACKSONVILLE, FL 32218
Location Phone
(904) 634-0640
Location Fax
(904) 634-0203
Mailing Address
6500 BOWDEN RD SUITE 103 JACKSONVILLE, FL 32216
Mailing Phone
(904) 634-0640
Mailing Fax
(904) 634-0203
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2016
Last Update Date
06-13-2023
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - EPO
  • BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRETT PUCKETT

Authorized Official Title
PRESIDENT
Authorized Official Phone
(904) 634-0640

Reviews for SOUTHEAST ORTHOPEDIC SPECIALISTS, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114383023, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 3 → 6 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 6 + 8 + 6 + 0 + 4 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1114383023.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Hearing Instrument Specialist
15255 MAX LEGGETT PKWY, SUITE 5200
JACKSONVILLE, FL 32218
Obstetrics & Gynecology
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Physician Assistant
15255 MAX LEGGETT PKWY, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32218
Specialist/Technologist (Athletic Trainer)
15255 MAX LEGGETT PKWY, SUITE 6600
JACKSONVILLE, FL 32218
Nurse Anesthetist, Certified Registered
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Nurse Practitioner (Acute Care)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Nurse Practitioner (Gerontology)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Registered Nurse (Registered Nurse First Assistant)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Internal Medicine
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Pharmacist
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Pharmacist
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Pharmacist
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Physician Assistant
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Social Worker (Clinical)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Specialist/Technologist (Athletic Trainer)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Social Worker (Clinical)
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Pharmacist
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Internal Medicine
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Pharmacist
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218
Emergency Medicine
15255 MAX LEGGETT PKWY
JACKSONVILLE, FL 32218

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114383023, enumerated as an "organization" on January 07, 2016.

The provider is located at 15255 MAX LEGGETT PKWY 5TH FLOOR JACKSONVILLE, FL 32218 and the phone number is (904) 634-0640.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.